Organization Active NPI

Cool Springs Interventional, PLLC

  • Specialist
  • Franklin, TN
National Provider Identifier
1689865602
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
30364 Issued in TN
Legal business name
COOL SPRINGS INTERVENTIONAL, PLLC
Practice address
3310 Aspen Grove Dr
Suite 203
Franklin, TN 37067-2836
Phone
(615) 406-0931
NPI assigned
Aug 5, 2007
Last updated
Aug 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark R Shaw, MDNPI 1538143383
Title
President
Phone
(615) 406-0931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 30364 TN Primary

Addresses

Primary practice location

3310 Aspen Grove Dr
Suite 203
Franklin, TN 37067-2836

Mailing address

3310 Aspen Grove Dr
Suite 203
Franklin, TN 37067-2836
Phone (615) 406-0931

Other identifiers 1

IdentifierTypeStateIssuer
G46246OtherTNUPIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1689865602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 ASPEN GROVE DR",
            "address_2": "SUITE 203",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672836",
            "telephone_number": "615-406-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 ASPEN GROVE DR",
            "address_2": "SUITE 203",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672836",
            "telephone_number": "615-406-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOL SPRINGS INTERVENTIONAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-406-0931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "30364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G46246",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.